Get the free Orenitram (treprostinil) MC - rmhp

UNIFORM PHARMACY PRIOR AUTHORIZATION REQUEST FORM CONTAINS CONFIDENTIAL PATIENT INFORMATION Complete this form in its entirety and send to Rocky Mountain Health Plans at 8583572538 Initial Request

How to fill out orenitram treprostinil mc

How to fill out Orenitram treprostinil mc:

1. Wash your hands thoroughly before handling the medication to ensure cleanliness and prevent contamination.
2. Remove the Orenitram treprostinil mc bottle from the refrigerator and let it warm up to room temperature.
3. Inspect the bottle for any signs of damage or leakage. Do not use the medication if the bottle appears damaged.
4. Using a sterile syringe, withdraw the required dose of Orenitram treprostinil mc as directed by your healthcare provider.
5. Double-check the prescribed dose to ensure accuracy.
6. Administer the medication orally using the provided dosing syringe. Place the tip of the syringe into the mouth and gradually push the plunger to deliver the medication.
7. Rinse the dosing syringe with water and place it in a safe and clean location for future use.
8. Recap the Orenitram treprostinil mc bottle tightly and store it in the refrigerator.
9. Keep track of the date when the bottle was opened and discard any remaining medication after the recommended duration, as per the instructions provided.

Who needs Orenitram treprostinil mc:

1. Orenitram treprostinil mc is a prescription medication primarily used to treat pulmonary arterial hypertension (PAH).
2. PAH is a condition characterized by high blood pressure in the arteries that supply blood to the lungs.
3. Individuals diagnosed with PAH may experience symptoms such as difficulty breathing, chest pain, fatigue, and dizziness.
4. Orenitram treprostinil mc is specifically indicated for adult patients with PAH who require additional treatment options to improve exercise capacity and symptoms.
5. It is typically prescribed by healthcare providers who specialize in the treatment of pulmonary hypertension.
6. Orenitram treprostinil mc is not recommended for use in children or adolescents.
7. It is important to consult with a healthcare provider to determine if Orenitram treprostinil mc is the appropriate treatment option for your specific condition.

For pdfFiller’s FAQs

What is orenitram treprostinil mc?

Orenitram treprostinil mc is a medication used to treat pulmonary arterial hypertension.

Who is required to file orenitram treprostinil mc?

Healthcare providers are required to file orenitram treprostinil mc.

How to fill out orenitram treprostinil mc?

Orenitram treprostinil mc should be filled out with all relevant patient information and dosage details.

What is the purpose of orenitram treprostinil mc?

The purpose of orenitram treprostinil mc is to improve symptoms and exercise capacity in patients with pulmonary arterial hypertension.

What information must be reported on orenitram treprostinil mc?

Information such as patient demographics, medical history, current medications, dosage instructions, and side effects must be reported on orenitram treprostinil mc.

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